All the following statements are either true or false

1 Regarding mental health services:

a) CMHTs are multidisciplinary teams

b) Occupational therapists act as care co-ordinators

c) Most cases of mental illness are seen by CMHTs

d) CPA is a specific social care intervention

e) Home treatment teams control hospital admissions

2 Early Intervention in Psychosis Teams:

a) Work with recent onset cases, regardless of age

b) Get involved once a diagnosis has been confirmed

c) Avoid using medication in the early stages of illness

d) Act as care co-ordinators for their patients

e) Work with patients until psychosis has resolved

3 Assertive Outreach Teams:

a) Work primarily with homeless patients

b) Display a forceful attitude towards patients

c) Work most with people with schizophrenia

d) Do housework with patients to try to engage them

e) Are ineffective when substance misuse is present

4 The following are examples of functional mental illnesses:

a) Bipolar affective disorder

b) Schizophrenia

c) Borderline personality disorder

d) Korsakoff’s psychosis

e) Somatisation disorder

5 The following demographic factors are associated with suicide:

a) Female

b) Older age

c) Living in rural environment

d) Working as an anaesthetist

e) Unemployment

6 The following health and social factors are associated with suicide:

a) Chronic arthritis

b) Married

c) Schizophrenia

d) Alcohol dependence

e) Bereavement

7 Neurotransmitters have the following characteristics:

a) precursors are present in the synaptic cleft

b) presynaptic excitation causes synthesis

c) they bind to pre- and post-synaptic receptors

d) receptor binding causes a biological effect

e) they pass into the postsynaptic cell

8 The following are associated with an increased risk of violence:

a) Male gender

b) Past history of violence

c) PTSD

d) Substance misuse

e) Cluster B personality disorders

9 In assessing the suicide risk of a patient following an overdose:

a) impulsive overdoses suggest high suicide risk

b) the number of tablets taken is a key factor

c) writing a suicide note suggests higher risk of suicide

d) if they called for help, the suicide risk must be low

e) a history of previous self harm suggests a low risk

10 Third person auditory hallucinations:

a) Are usually experienced as being inside the head

b) By definition consist of three separate voices

c) May suggest the patient should kill himself

d) Are often associated with a diagnosis of schizophrenia

e) May comment on the patient’s actions

11 The following factors contribute to non-adherence with psychotropic drugs:

a) Side effects of medication

b) Good insight into the illness

c) Stigma

d) Financial concerns

e) Complex drug regimes

12 The following concepts are typically used in Cognitive Therapy:

a) Defence mechanisms

b) Counter-transference

c) ABC model

d) Thinking errors

e) Cognitive schemata

13 The following suggest a diagnosis of schizophrenia rather than psychotic depression:

a) Second person auditory hallucinations

b) Thought broadcasting

c) Loosening of association

d) Delusions of guilt

e) Nihilistic delusions

14 Bipolar disorder:

a) Is a form of cyclothymia

b) Type 2 causes hypomanic and depressive episodes

c) May present with a mixed affective state

d) Can be made worse by antidepressants

e) Is often treated with carbamazepine

15 The following interventions are recommended for the treatment of depressive episodes in primary care:

a) Computerised CBT

b) Problem solving

c) Exercise programmes

d) Guided reading

e) Antidepressant medication

16 The following are features of manic episodes:

a) Emotional lability

b) Increased productivity at work

c) Flight of ideas

d) Persecutory delusions

e) Irritability

17 SSRI antidepressants are commonly used in the following conditions:

a) Hebephrenic schizophrenia

b) Generalised anxiety disorder

c) OCD

d) PTSD

e) Somatoform pain disorder

18 Mental state examination of a patient with obsessive–compulsive disorder will typically reveal:

a) Dishevelled appearance

b) Depressed affect

c) Delusions of contamination

d) Mood congruent auditory hallucinations

e) Disorientation in time and place

19 The following are typical of bulimia nervosa:

a) Disregard for calorific intake between binges

b) Amenorrhoea

c) Good response to treatment with SSRIs alone

d) 40% of cases have onset after age 40 years

e) Better prognosis in men

20 The following are correctly paired:

a) Paranoid personality disorder: delusions of persecution

b) Dissocial personality disorder: social withdrawal

c) Borderline personality disorder: rejection sensitivity

d) Histrionic personality disorder: shallow affect

e) Anankastic personality disorder: feelings of ineptitude

21 In older people:

a) Deliberate self-harm is often ‘a cry for help’

b) Early dementia is the condition most likely to cause suicide

c) Hearing impairment protects against auditory hallucinations

d) Alzheimer’s disease is the most common form of dementia

e) Antipsychotic drugs are helpful in Lewy body dementia

22 The following suggest a diagnosis of delirium over dementia:

a) Acute onset

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